Membership Application Form

Step 1 - Renew your membership or become a member today








Additional Member Personal Details













Step 2 - Make an additional tax-deductible donation


$

Payment Information







Not Required for AMEX Card

In accordance with the Rules of Montefiore, in order to be eligible to vote at an Annual General Meeting (AGM), a person must be either a Life Governor or have made a Membership payment sometime during the financial year immediately preceding the date of the AGM at which they intend to vote. Accordingly, payment of membership fees received before June 30, 2021 will entitle you to vote at the 2021 AGM. Payment of membership fees received between July 1, 2021 and June 30, 2022 will entitle you to vote at the 2022 AGM. Any additional tax-deductible donation sent with this form will apply to the financial year in which it was made.